Friday, July 27, 2007

Friday Fun Stuff--When death comes calling, so does Oscar the cat

Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, RI, is seen Monday, July 23, 2007. Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours. (AP Photo/Stew Milne)

I've been seeing this story sprout up on Boston.com, Yahoo News, The San Francisco Examiner, and a few other news sites over the past week. It even made it to the second story on Countdown with Keith Olbermann last night. What is this story? Well, meet Oscar and find out. From CNN.Com:

PROVIDENCE, Rhode Island (AP) -- Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours.

His accuracy, observed in 25 cases, has led the staff to call family members once he has chosen someone. It usually means the patient has less than four hours to live.

"He doesn't make too many mistakes. He seems to understand when patients are about to die," Dr. David Dosa said in an interview. He describes the phenomenon in a poignant essay in Thursday's issue of the New England Journal of Medicine.

"Many family members take some solace from it. They appreciate the companionship that the cat provides for their dying loved one," said Dosa, a geriatrician and assistant professor of medicine at Brown University.

The 2-year-old feline was adopted as a kitten and grew up in a third-floor dementia unit at the Steere House Nursing and Rehabilitation Center. The facility treats people with Alzheimer's, Parkinson's disease and other illnesses.

After about six months, the staff noticed Oscar would make his own rounds, just like the doctors and nurses. He'd sniff and observe patients, then sit beside people who would wind up dying in a few hours.

Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, R.I., walks past an activity room at the facility Monday, July 23, 2007. Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours. (AP Photo/Stew Milne)

Dosa said Oscar seems to take his work seriously and is generally aloof. "This is not a cat that's friendly to people," he said.

Oscar is better at predicting death than the people who work there, said Dr. Joan Teno of Brown University, who treats patients at the nursing home and is an expert on care for the terminally ill

She was convinced of Oscar's talent when he made his 13th correct call. While observing one patient, Teno said she noticed the woman wasn't eating, was breathing with difficulty and that her legs had a bluish tinge, signs that often mean death is near.

Oscar wouldn't stay inside the room, though, so Teno thought his streak was broken. Instead, it turned out the doctor's prediction was roughly 10 hours too early. Sure enough, during the patient's final two hours, nurses told Teno that Oscar joined the woman at her bedside.

Doctors say most of the people who get a visit from the sweet-faced, gray-and-white cat are so ill they probably don't know he's there, so patients aren't aware he's a harbinger of death. Most families are grateful for the advance warning, although one wanted Oscar out of the room while a family member died. When Oscar is put outside, he paces and meows his displeasure.

Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, R.I., waits outside a patient's room, Monday, July 23, 2007. (AP Photo/Stew Milne)

No one's certain if Oscar's behavior is scientifically significant or points to a cause. Teno wonders if the cat notices telltale scents or reads something into the behavior of the nurses who raised him.

Nicholas Dodman, who directs an animal behavioral clinic at the Tufts University Cummings School of Veterinary Medicine and has read Dosa's article, said the only way to know is to carefully document how Oscar divides his time between the living and dying.

If Oscar really is a furry grim reaper, it's also possible his behavior could be driven by self-centered pleasures like a heated blanket placed on a dying person, Dodman said.

Nursing home staffers aren't concerned with explaining Oscar, so long as he gives families a better chance at saying goodbye to the dying.

Oscar recently received a wall plaque publicly commending his "compassionate hospice care."

All I can say is talk about Friday Cat Blogging here. But Oscar seems to be performing a special service for the doctors and staff at the Steere House Nursing and Rehabilitation Center. While other hospice cats are chasing mice, Oscar is predicting when nursing home patients are going to die. I wonder, is all this media fame and glory for the past week going to Oscar's head? Or is he just shrugging off all this media attention, taking it in stride as he continues his hospital rounds?

Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, R.I., strolls past residents in the hall, Monday, July 23, 2007. (AP Photo/Stew Milne)

No comments:

Post a Comment